1 International Conferenceon Business andManagement Technology 2019 (IConBMT 2019) Strategy to Increase Market Share for Medical Devices : A Case Study of a Sole Distributor Company Anton Sukoco1,*, Mohamad YusakAnshori2, Magister Management, Universitas Airlangga 60286, Indonesia 2 Economic and Business Faculty,Nadhatul Ulama Surabaya of University 60237, Indonesia 1 anton.sukoco-2017@feb.unair.ac.id1,yusak.ashori@unusa.ac.id2 Abstract--The objectives of this study is to evaluate marketing strategies that hit directly at market leaders in the goal of getting a marketing strategy to increase market share and become a market leader. This study applies a qualitative and quantitative approach. The analysis applied was descriptive analysis using EFAS, IFAS and SWOT analysis instruments. Data sources and types of research data consist of primary data and secondary data. Primary data obtained from the results of focus deep discussion, in deep interviews and questionnaires. Whereas secondary data is obtained from financial reports and relevant articles and literature. The results of this study resulted in the value of Opportunity: 2,07 Threat: 0,60 and Strength: 0,52, Threat: 1,5 so that in quantitative SWOT analysis entered the turnaround strategy, namely changing strategy. And from the SWOT matrix, it was found that the W-O strategy, that is company must change their marketing strategies from direct hit to market leaders by improving after-sales services, improving the their quality products, conducting brand equity, support from top management and placing units in the Teaching Hospital. This research can provide an overview to practitioners in marketing strategic decision making. Keywords--market challenger, IFAS, EFAS, SWOT, marketing strategy. I. INTRODUCTION C ancer is a type of disease that is capable of causing death at a fairly high level in the world. There are at least several factors that cause cancer deaths, namely excessive body weight index, lack of fruit and vegetable consumption, lack of physical activity, smoking, and alcohol consumption. Interestingly, smoking is the highest factor causing cancer and can even lead to death by 20 %. Furthermore, as many as 70 % of deaths are caused by lung cancer caused by smoking addiction [1]. The spread of the disease in Indonesia is also quite worrying. Still based on the Litbangkes report, the Indonesian Ministry of Health published 347,742 people suffering from cancer. The region which has the highest number of three ranked cancer patients is Yogyakarta Special Region with 4.1 %, followed by East Java and the third highest is Central Java with 61,230 people. On that basis also, Hospitals in Indonesia strive to improve quality in services, especially in terms of cancer. In this regard, the government through the Ministry of Health issued a decision to improve the quality of services represented by ensuring that hospitals with at least type 'B' must have medical support for the cancer diagnosis [2]. The existence of the phenomena described in the previous section, the sole distributor company brand A medical devices saw as an opportunity to increase market share by evaluating its marketing strategy and formulating a new marketing strategy in order to increase market share and become the market leader. This will add to the Company's value in the eyes of stakeholders. According to sales data, the last 3 years show the position of the company as a market challenger [3]as follows: Table 1. Sales Revenueof Company Sales (IDR) Market share Brand 2016 2017 2018 2016 2017 2018 A 335.360.000 1.502.320.000 1.224670.000 18,3% 16,39% 38,83% B 1.306.115.000 7.475.070.000 1.496.150.000 71,28% 81,53% 47,43% C 190.775.821 190.775.821 433.418.100 10,41% 2,08% 13,74% Total 1.832.250.821 9.168.165.821 3.154.238.100 100,0% 100,0% 100,0% Anton Sukoco, Magister Management of Airlangga University, Surabaya, 60286, Indonesia, anton.sukoco-2017@feb.unair.ac.id1, Mohamad YusakAnshori, Economic and Business Faculty, NadhatulUlama Surabaya of University, Surabaya, Indonesiayusak.ashori@unusa.ac.id2, Based on data collected from internal sole distributor companies as can be observed in table 1.it can be observed that market share of product A is a product with the market challenger category. because having International Conferenceon Business andManagement Technology 2019 (IConBMT 2019) market share is still below 40% while the marker leader market share is 40%. This is evident in the rate of development of marker share of single distributor companies in a row in 2016, 2017, and 2018 that have never even reached 40%, and this figure is a reference to be able to compete with similar industries that have become marker leaders [3]. In another perspective. a product that is classified as a market challenger sometimes attacks marker leader and its competitors to increase market share. So if you want to increase the market share of a company you must have an effective marketing strategy, which is that the market can be well received. An increase in product A market share and making it a market leader means increasing customer preferences and company value. So that the increase in value will increase the sales force's trust in prospective product users and at the same time the benefits of the company are that the company is able to become the choice of prospective principals in the business sector of medical devices and laboratories. II. LITERATURE REVIEW The literature review explains some theoretical studies and empirical studies that have relevance to the research conducted. Theoretical studies in question are theories that support and will later be elaborated with the results of research and become the scope of the discussion. While empirical studies are previous studies that are definitely selected and have material that supports the compilation of research reports such as this research journal. A. Strategy Strategy [4] is the main planning that is systematic and orderly so that it can realize the results set based on the mission owned by the company. There is also another definition of strategy is a series of decision decisions made on the basis of fundamental actions prepared by top-level structural management that are realized and carried out so that corporate goals are achieved. Or there are also three approaches to strategy namely declaration, perspective of success factors and ways to create company goals. B. Strategic Management Systematic art management can also be said as strategic management is a decision-making process that uses and allocates a relatively long time [5]. This can also be defined as the derivation of tasks that must involve many parties [6] C. Marketing [3] Defining marketing as a process of introducing values and messages from companies to consumers (end users) in order to get information from each other, marketing can also be interpreted as a holistic system business activities aimed at planning, pricing, promoting and deliver goods from the warehouse to consumers. D. Competitive Strategies Competitive strategy is the process of running a business run by a company that aims to increase the 2 portion of goods and services as a product of a company [5]. In another assessment, [3] stated that at least it must have three advantages to be able to compete, that are cost advantages, differentiation and focus in printing products and services to meet people's needs. E. Market Challenger Strategy This market challenger strategy can be implemented if the company's goal is to boost market resources which ultimately want to become a marker leader. So it is clear that the aim of the market challenger strategy is to increase market share itself [3]. There are also several types of market challenger strategies according to Kotler and Keller as follows: 1) Frontal attacks are openly equal attacks on products, advertisements, prices, and distribution and competitors. Where this attack states that those who have greater resources will win. 2) Flank attacks are attacks that target the weak points of opponents that can be directed at two geographical dimensions where in this case the attacker takes advantage of opportunities that have not been touched by competitors, and the segment where the attacker takes advantage of opportunities to provide market needs that have not been properly met. 3) An encirclement attack is an attack through a siege attempt to capture a part of a competitor's area with a fast attack. This attack can be applied when challengers have superior resources and have confidence that siege will quickly destroy competitors. 4) A by-pass attack is an attack that passes through all competitors and attacks a market that is easier to enter to be able to expand the company's resource base through three approaches namely unrelated product diversification, diversifying into new geographic markets, and jumping to new technologies for replace old products. 5) Guerrilla warfare is a small and irregular form of attack such as lowering the price of goods, promotion flash attacks internally, or sometimes using legal actions aimed at embarrassing and damaging the morale of competitors and in the end the attacker will get a permanent place on the market. F. SWOT Analysis SWOT is used to determine accuracy of the strategy in developing SWOT company values. It can also be used as a guideline for planning and evaluating strength. Strength is an advantage possessed by a company in its resources, capabilities, and other advantages that arise in the company. Weakness is a limitation or lack of a company that hinders the performance of the company. Opportunities are situations that benefit the company in every aspect of the business. Threat is a situation that is not profitable for the company in the form of obstacles faced by the company. The quantitative approach of the SWOT analysis is applied by multiplying the score (a) against the weight (b) in each SWOT factor to get the total multiplication value (c = a x b). This approach was developed based on a qualitative approach by [7]. Positioning is applied by reducing the total factor S multiplication value by W to 3 International Conferenceon Business andManagement Technology 2019 (IConBMT 2019) get the coordinate x (x = S-W) and reduce the total value of factor O with T to get the coordinates y (y = O-T). so that the coordinates (x, y) are obtained to determine position of the company on the SWOT diagram. The SWOT diagram is divided into 4 quadrants as shown in figure 1. The purpose of knowing the company position is to determine the type of strategy taken based on external and internal conditions of the company [8]. Each quadrant is influenced by factors of strength, weakness, opportunity, and threat of the company [4] where it is explained below: 1) Quadrant I This position indicates that the company has good strength and opportunity. The strategy recommendation in this position is rogressive, where the company can continue to develop because it has good opportunities and strength. 2) Quadrant II This position indicates the company has good strength but has a big challenge. The strategy recommendation in this position is Strategy Diversification, companies must have several other strategies to deal with these challenges. 3) Quadrant III This position indicates that the company is weak but G. SWOT Matrix An alternative strategy that is carried out based on the results of identification of internal conditions and the external circumstances of a company or institution. The identification results are not the result of an assessment of the company's internal or institutional, but also the results of an external assessment of the company. These alternative strategies can be made in the form of matrices, a matrix with four possible strategy options [9]. Following are the policy options in the SWOT matrix in question as shown below. The qualitative approach of the SWOT analysis can construct strategic alternatives that can be taken by the company by looking at the relationship of SWOT factors. The relationship of SWOT factors will result in an alternative SO-ST-WO-WT strategy shown in table 2. The alternative SWOT matrix of the strategy has different ways to improve the performance of an organization [9]. 1) SO (Strength - Opportunity) 2) WO (Weakness - Opportunity) 3) ST (Strength - Threat) 4) WT (Weakness - Threat) Tabel 2. SWOT Matrix This journal research aims to find out the business processes and strategies of a single distributor company. Identification of business processes from upstream to downstream can be a reference for developing the business. Overall information about business activities is needed to determine the right strategy. Determination of the right strategy can be done using a SWOT analysis [4]. Qualitative SWOT analysis can be quantified to get the company's position on the SWOT diagram and also to weight the right strategies of other strategic alternatives. Opportunity Streghts (S) Weakness (W) Consider strategies that use power to take advantage of opportunities (SO) Consider strategies that take advantage of opportunities to avoid weaknesses (WO) Consider strategies that use strength to overcome or avoid threats (ST) Consider strategies that minimize the effects of weakness and overcome or avoid threats (WT) SWOT analysis is based on the identification result of the external and internal conditions of an organization. This identification is not only based on the company's point of view but also needs to involve the perspective of external parties such as consumers. Determination of strategies grounded on SWOT analysis can result in strategy decision making that is wrong because it only involves the manager's perspective [10]. The customer's point of view is needed to find out whether the strategies taken by the company affect the customer. III. RESEARCH METHODOLOGY Quadrant III Figure. 1. Diagram SWOT Quadrant I Weakness Strength Quadrant IV Threats (T) old strategy cannot take advantage of these opportunities. 4) Quadrant IV This position indicates a company that is weak and has a threat. The strategy recommendation in this position is Defending, where the company is in a dilemma position. Defensive strategies are taken to fix the internal conditions of the company so as not to get mired. opportunity (O) has good opportunities. The strategy recommendation for this position is the Change of Strategy, the company must change its strategy to take advantage of existing opportunities because it is feared that the Quadrant II Threats Figure 1. SWOT Diagram The review of the research methodology includes several consecutive explanations ranging from the type of research, the types and sources of research data, technical data collection, data processing techniques, data analysis techniques, and data interpretation techniques. Here's a review of the details. 4 International Conferenceon Business andManagement Technology 2019 (IConBMT 2019) A. Types of Research This type of research is a study that applies qualitative and quantitative approaches: This is because researchers are directly involved with the process of searching and processing data in the field, expecting the objectivity and validity of the data obtained. Research using this qualitative approach uses case study strategies. Case studies are methods that are identical to social science. At least there are some things that must be considered before determining the research strategy, namely the type of questions contained in the formulation of the problem, ability and control possessed by the researcher in dealing with the problems to be examined, and the level of focus on the research problem being investigated [11]. SWOT analysis needs to be carried out in the process of extracting data, considering that the aim is to be able to formulate accurate and effective strategy formulas [4]. Starting from planning, preliminary observation, preparation of model construction. The results analysis phase is up to the stages of preparing the final research report. This phase of journal research was adopted from the construction of the research phase which was initiated by [12] and developed by several scientists including Ascarya, a senior researcher at Bank Indonesia (BI), so that the stages of research in this journal are arranged as shown below. Existing Strategy B. Types and Sources of Research Data Both the type and source of research data used are the source and type of prime data, and the sources and types of secondary data. The primary data source in this study is informants who come from internal companies, with a background of deputy branch managers, group managers. While secondary data sources are all written references such as financial reports, magazines, journals, and related documents. Primary data is data obtained directly and informants, namely the results of interviews, in this study prime data includes data obtained from in-depth interview process and focus group discussion (FGD). While secondary data is data obtained and secondary sources. In this study, which is secondary data is financial report data records relating and obtained from reports or bulletins, and the like. Tabel 3. Data Respondent Charaterictic Focus Group Discussion Questionnaire External Analysis Internal Analysis SWOT Analysis A B C √ √ √ SWOT Matrix Gender Male Female Age Figure. 2.Charactristics of FGD Participants 35-40 Years old 40-45 Years old Result and Discussion √ Conclusion √ √ √ √ √ 14 10 15 Education Bachelor Work Experience Selected Strategy Figur 2. Flowchat Research Stage C. Research Phase The research phases are built on the basis and value of the concepts reviewed in the research of this journal. Reviews will determine the research approach and strategy that is used, so that the analysis and results of thought can be obtained which can then be used as material for decision making. The preparation of this journal uses a research methodology that refers to the analytical tool used, namely through the SWOT analysis approach. The elaboration result of the literature study by classifying and drafting the questionnaire continued with the focus group discussion (FGD) process. The FGD was directed to discussion activities with company managers. In addition to the FGD activities, in-depth interviews were also conducted with external parties, namely the company's commissioners. This stage was completed with the completion of the FGD process and interviews with expertise. Then there are two activities. First, International Conferenceon Business andManagement Technology 2019 (IConBMT 2019) qualitative SWOT analysis is by reducing the exposure of data and information and processing it in the form of narratives and descriptions. Second, quantitative SWOT analysis, namely by codifying, calculating the weight and rating which is then compiled by the SWOT matrix. From the results of the weight calculation and preparation of the SWOT matrix, it will then be analyzed and the results obtained to determine the results and direction of the strategic policy according to the matrix quadrant. D. Data Collection Technique In accordance with the research approach used is a qualitative approach, the data collection technique is at least divided into 2 stages techniques. These stages are focus group discussion (FGD) and in deep interview. The FGD was conducted by inviting a number of internal division employees to get an overview and insight into marketing and sales activities so that material was obtained to develop a market share strategy. In-depth interviews were conducted to confirm and clarify data in data triangulation methods, namely by interviewing practitioners who have competencies in marketing and strategic management. D. Data Analysis Technique Technique that used in processing data in this study is a SWOT analysis. In SWOT analysis it is very possible to extract data in order to obtain a strong and effective strategy formula [4]. In the process of identifying factors that are in the line of work of the company, it must be classified into 2, that are internal factors and external factors. Internal factors include 2 main elements, namely strength and weakness. Whereas external factors include opportunities and threats. In addition, this analysis method will also help understand the current situation or conditions of the company/industry and help improve the status of the company/industry. At the same time the SWOT analysis will help find solutions to threats and weaknesses, so that the company will grow and become competitive and against its rivals [13]. E. Data Validation Technique The technique used to validate and maintain the objectivity of data and information obtained from the results of field research is through a series of processes and methods starting from the FGD, in-depth interviews with informants. Triangulation is the process of confirming data by both the researcher and the research team, both based on the time of data giving (time triangulation) and based on the source of the data provider (source triangulation). Data triangulation will be carried out using in depth interviews with users or consumers of the product. The goal is after the results of the triangulation, the results of the review will be obtained and a description of the shortcomings and other matters of the product market, so that a review 5 will be obtained in the form of SWOT analysis points which are the product marketing strategy. IV. RESULT AND DISCUSSION In the results chapter & discussion, an analysis and interpretation of the results of data processing has been carried out. The analysis and interpretation of the data is carried out in accordance with the objectives to be achieved from the implementation of this journal research, namely increasing the market share of medical devices in a single distributor company of sakura brand A. Qualitative SWOT Analysis Identification of internal and external conditions of a single distributor company is done by making direct observations on the marketing process and literature studies. The results of the observations made by looking directly at the company's marketing activities and literature studies were then discussed with the internal management of the company and the company's commissioners. The results of the discussion are then validated, determined to be the factors used by external and internal analysis as follows: Company’s strength: 1) Competitive price. 2) The sales force competency is above the average. 3) Good Support Principal. 4) There is a back-up unit if there is damage. 5) The Company’s financial condition is quite good. The weaknesses of the company: 1) Bad after sales services. 2) Product quality is not good. 3) Support management which is less focused on providing direction for medical device marketing strategies. 4) Brand equity that has not been strong. 5) The absence of products at the Teaching Hospital so that is not familiar. Company’s Opportunities : 1) Business Opportunities. 2) Government Regulation for Hospital Type B. 3) The need for rapid diagnose. Company’s threat : 1) Worth to Mouth that is not good towards the brand. 2) Competitor’s aggressiveness. B. Quantitative SWOT Analysis Determining position of the company using SWOT analysis is done by assigning values of weights and ratings. Weighting is done by selecting numbers with a range of 0.0 to 1.0 based on their importance, with the number 0.0 indicating not important until the number 1.0 shows very important. Giving ranking is done by selecting numbers 1 to 4 based on the level of influence, where number 1 shows a very small influence to 4 indicates a very large influence. The assignment of weight values and ratings is carried out by the managers of the company's internal. 6 International Conferenceon Business andManagement Technology 2019 (IConBMT 2019) Table 4. Quantitative SWOT Analysis Questionnaires of Strategic Factor Internal Condition Internal Strategies factor Weight Rating (c) Score (b x c) (a) (b) Respondent 1 Respondent 2 Respondent 3 Average (d) Competitive price (S1) 0.025 4.00 3.00 4.00 3.67 0.09 Sales force competence over the average (2) 0.025 4.00 3.00 4.00 3.67 0.09 Good support principal (S3) 0.025 4.00 3.00 3.00 3.33 0.08 Back up unit if there is any damage (S4) 0.025 4.00 4.00 4.00 4.00 0.10 Company’s financial condition is fairly good (S5) 0.050 3.00 3.00 3.00 3.00 0.15 Poor after-market service (W1) 0.200 2.00 2.00 2.00 2.00 0.40 Product quality is not good (W2) 0.100 2.00 1.00 2.00 1.67 0.17 Support management that is less focused on providing direction for medical device marketing strategies (W3) 0.050 2.00 1.00 2.00 1.67 0.08 Brand equity that is not yet strong (W4) 0.250 1.00 1.00 1.00 1.00 0.25 There is no product in Teaching Hospital then it unfamiliar (W5) 0.250 1.00 1.00 1.00 1.00 0.25 STRENGTHS WEAKNESS TOTAL 1.00 1.67 Based on the results of quantitative SWOT analysis of internal factors of sole distributor companies in Table 4, it is known that there are five strength factors and five weakness factors in the internal conditions of the company. The value of the total factor strength and weakness of the condition of the company interval is +1.67. This indicates that internal business factors are in sufficient condition because they have strength but weaknesses also have a strong influence. While the evaluation of internal conditions based on the value of the strength factor minus the company's weakness is equal to -0.63. So the company should improve its performance again by improving internal conditions and eliminating existing weaknesses. Table 5. Quantitative SWOT Analysis Questionnaires of Strategic Factor External Condition External Strategies factor Weight Rating (c) Score (b x c) (a) (b) Respondent 1 Respondent 2 Respondent 3 Average (d) Business opportunity (O1) 0.250 4.00 3.00 4.00 3.67 0.92 Government regulation related to Hospital B Type (O2) 0.300 4.00 3.00 3.00 3.33 1.00 Need on quick diagnose confirmation (O3) 0.050 3.00 3.00 3.00 3.00 0.15 Word to Mouth is not good on the brand (T1) 0.300 2.00 2.00 1.00 1.67 0.50 Competitor aggressiveness (T2) 0.100 1.00 1.00 1.00 1.00 0.10 OPPORTUNITY WEAKNESS TOTAL 1.00 Based on the results of the quantitative SWOT analysis of the internal factors of the sole distributor company in table 5, it is known that there are three opportunity factors and two threat factors in the company's internal conditions. The total value of opportunity factors and the threat of the company's external conditions are +2.67. This indicates that the external factors of the business are in good condition. Whereas the external factor evaluation 2.67 of total opportunity score reduced by threats is equal to +1.47. The value indicates that business opportunities are still quite promising with existing threats. C. SWOT Diagram In the analysis of the SWOT diagram using data from the questionnaire processing as listed in tables 4 & 5. With the results of processing the two tables, a score is 7 International Conferenceon Business andManagement Technology 2019 (IConBMT 2019) obtained indicating the identification of factors which will then be used to formulate the company's strategy. This SWOT analysis is the beginning of the process of formulating strategies that will be carried out to assist in determining the strategies taken by the sole distributor company. The calculation results of qualitative SWOT analysis on the internal and external conditions of a single distributor company show an internal score of -0.63 and an external value score of +1.47 as shown in figure 3 of the SWOT diagram below. The internal score value shows the position of the x coordinate and the external score value showing the y coordinate position, based on the results of the calculation showing the position of the company in quadrant III at the coordinate point (-0.63; +1.47). So the strategy that must be taken is the Turnaround, where the company must change its strategy to take advantage of existing opportunities because it is feared that the old strategy cannot take advantage of the opportunities available. Opportunity + 1.47 Weakness Strength - 0.63 Threats Figure 3. SWOT Diagram of Company Condition D. Matrik SWOT The factors that have been identified in the SWOT analysis are then compiled into the SWOT matrix. These factors represent the internal and external conditions of the company. Based on the results of discussions with the management of the sole distributor company after seeing these internal and external conditions. formulated several alternative strategies that are expected to be implemented in the company to improve company performance. The alternative strategies that can be taken by the company are as follows. Based on Table 6, there are four types of alternative strategies that can be used based on the external and internal conditions of the company, namely SO (StrengthOpportunity). ST (Strength-Threat). WO (WeaknessOpportunity), and WT (Weaknesess-Threat). The following is an explanation of the strategy alternatives in each strategy: 1) SO Strategy After knowing the strength of the company to take advantage of existing opportunities by increasingqualityandquantity of sales force calls and bundling supporting products. 2) ST Strategy After knowing the strength of the company to overcome or reduce the threat by carrying out a joint visit to the hospital to key customers, taking the competitor's sales form, and re-training the operator. 3) WO Strategy Take advantage of the opportunities that the company has to avoid existing weaknesses by increasing the competence of after-market employees so that services are faster and more precise, make improvements to product quality, and collaborate with Education Hospitals. 4) WT Strategy Consider strategies that minimize the effects of weaknesses owned by the company and overcome or avoid threats that come from outside the company by giving attention to focus on service in the existing customer. 8 International Conferenceon Business andManagement Technology 2019 (IConBMT 2019) Table 6. SWOT Matrix of Company Strategy Alternatives IFAS STRENGHTS WEAKNESSES Competitive price (S1) Poor after-market service (W1) Sales force competence over the average (S2) Product quality is not good (W2) Good support principal (S3) Support management that is less focused on providing direction for medical device marketing strategies (W3) Back up unit if there is any damage (S4) Brand equity that is not yet strong (W4) Company’s financial condition is fairly good (S5) There is no product in Teaching Hospital then it unfamiliar (W5) EFAS OPPORTUNIES SO Strategy WO Strategy Business opportunity (O1) Improve the quantity and quality of sales force calls (S1, S2, S3, S4, O1, O2, O3) Government regulation related to Hospital B Type (O2) Make supporting bundling product (S5, O1, O2) Need on quick diagnose confirmation (O3) Improving after sales employee competencies so the service be faster and on time (W1,W2, W3, O1, O2) Make product quality improvement (W2, O1, O2) Cooperation with Teaching Hospital THREAT ST Strategy WT Strategy Word to Mouth is not good on the brand (T1) Make Hospital joint visit to end user (S2, S3, S4, S5, T1) Competitor aggressiveness (T2) Take competitor sales force (S5, T4) Service focus on existing customer (W1, T2) Re-training to operator (S5, T1) V. CONCLUSION A. Conclusions (1) From quantitative SWOT analysis internal factors indicate that a company should improve its performance by improving internal conditions and eliminating existing weaknesses. Whereas quantitative and external SWOT analysis shows that the company has not taken advantage of opportunities well and has reduced threats and wild. (2) Based on the results of the SWOT analysis data processing, the internal score value is obtained indicating the position of the x coordinate and the external score value indicating the coordinate position y. Based on the results of these calculations indicate the position of the company is in quadrant III at the coordinate point (-0.63; +1.47). (3) From the SWOT matrix four SO-WO-ST-WT alternative strategies are obtained. (4) Companies must change the old strategy, namely the frontal attack strategy with a new strategy encirclement attack by eliminating weaknesses through increasing the competence of after-market employees so that service is faster and more precise, improving product quality, and cooperating with the Education Hospital. As for reducing threats through giving attention in a focus on service in the existing customer. (5) As an appropriate strategy for market challengers, encirclement or siege attacks are an attempt to capture a part of a competitor's area with a rapid attack. Siege can be applied when challengers have superior resources and believe that siege will quickly destroy the morals of competitors. B. Suggestions (1) The order to increase market share & become a market leader, the sole distributor company should change the existing strategy according to the results of the SWOT analysis in quadrant 3 from the frontal attack strategy to the encirclement strategy by improving existing weaknesses through with improving after sales employee competencies so the service be faster and on time, make product quality improvement and cooperation with teaching hospital. VI. REFERENCES [1] Indonesian Ministry of Health Data Center 2015. [2] Regulation of the Minister of Health Republic of Indonesia Number 56 of 2014. [3] Kotler, Philip and Kevin Lane Keller, 2016. Marketing Managemen, 15th Edition, Pearson Education,Inc. [4] Rangkuti, Freddy, 2017. TeknikMembedahKasusBisnis: Analisis SWOT; Cara PerhitunganBobot, Rating dan OCAI. PT. GramediaPustakaUtama, Jakarta. [5] Wheelen, Thomas L dan Hunger, J. David. 2015. ManajemenStrategis. Yogyakarta: Andi. [6] Robbins, P. 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RajagrafindoPersada. [12] Saaty, Thomas, 2001, Decision Making With Dependence and Feedback: The Analytic Network Process (2nd Edition).University Of Pittsburgh. [13] Kanat, S., Abbasi, S.A., Peerzada, M.H. and Atilgan, T., 2018. SWOT analysis of Pakistan’s textile and clothing industry. DE REDACTIE, p.502. 9